Organization Active NPI

Majestic Wellness Clinics, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1679304109
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAJESTIC WELLNESS CLINICS, INC.
Practice address
2720 E Thomas Rd Ste 200B
Phoenix, AZ 85016-8242
Phone
(800) 689-6958
Fax
(800) 689-6958
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shafique Kakooza
Title
Ceo
Phone
(800) 689-6958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2720 E Thomas Rd Ste 200B
Phoenix, AZ 85016-8242

Mailing address

2720 E Thomas Rd Ste 170B
Phoenix, AZ 85016-8230
Phone (800) 689-6958

Other names 1

  • MAJESTIC WELLNESS CLINIC TWO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Majestic Wellness Clinic Two3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2720 E Thomas Rd
Ste 170B
Phoenix, AZ 85016
Phone (800) 689-6958

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1679304109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD STE 170B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168230",
            "telephone_number": "800-689-6958",
            "fax_number": "800-689-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD STE 200B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168242",
            "telephone_number": "800-689-6958",
            "fax_number": "800-689-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC WELLNESS CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "KAKOOZA",
        "authorized_official_first_name": "SHAFIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-689-6958"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAJESTIC WELLNESS CLINIC TWO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAJESTIC WELLNESS CLINIC TWO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.